| NPI | 1942367628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERETTA OATES President Company 248-879-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901016829) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2011-01-10 |